Corticosteroid treatment of childhood Bell’s palsy

Ünüvar, Emin; Oğuz, Fatma; Sıdal, Müjgan; Kılıç, Ayşe

doi:10.1016/s0887-8994(99)00099-5

Cited by 84 publications

(63 citation statements)

References 13 publications

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“…Findings of previous studies with regard to the seasonality of BP are inconsistent. Some studies have suggested that the cold season is associated with a higher occurrence of BP [5,17,22,23], while others have not observed any seasonal variations [1,12,24]. None of those earlier studies evaluated the seasonality of BP in as large a study as the one used here.…”

Section: Discussionmentioning

confidence: 80%

Epidemiologic and Clinical Features of Bell’s Palsy among Children in Northern California

et al. 2012

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Background: Bell’s palsy (BP) is an acute, idiopathic, and usually unilateral paralysis of the facial nerve. Large population-based studies of BP among children are lacking. We determined epidemiologic and clinical features of BP among children enrolled in a large integrated health care delivery system. Methods: From 2001 through 2006, all children ≤18 years of age diagnosed with BP within the population of Kaiser Permanente Northern California were identified using the International Classification of Diseases, 9th Revision, code 351.0. All cases were adjudicated by an otolaryngologist and categorized as definite, probable, or rejected. Using chart abstraction forms, epidemiologic and clinical features of BP were determined. Results: Of a total of 977 cases initially identified, 822 (84.1%) were adjudicated as a definite or probable case. The overall incidence rate of BP during the study period was 18.8 (95% CI 17.6–20.2) per 100,000 person-years. The incidence rate increased by age and was higher in females than males across all age strata. There was no evidence for a seasonal pattern in the occurrence of BP (p for trend = 0.81). Conclusions: BP among children may be more common than previously recognized.

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Section: Discussionmentioning

confidence: 80%

Epidemiologic and Clinical Features of Bell’s Palsy among Children in Northern California

et al. 2012

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“…37 All but 3 trials 33,34,39 attempted to rule out other causes of acute facial paralysis. One trial involved exclusively pediatric patients, 42 6 trials included pediatric patients, 22,34,36,39,42,43 and the remainder included only patients older than 14 years.…”

Section: Resultsmentioning

confidence: 99%

“…Eight trials compared corticosteroids with a control (placebo, supportive treatment, or no treatment), 35,36,[38][39][40][41][42][43] 7 compared the combination of antiviral agents and corticosteroids with a corticosteroid control (with or without placebo), 20- [19][20][21]23,38 ; one described adherence to the intentionto-treat principle. 23 Five trials described a modified intention-to-treat analysis.…”

Section: Resultsmentioning

confidence: 99%

Combined Corticosteroid and Antiviral Treatment for Bell Palsy

Almeida

Khabori²,

Guyatt

et al. 2009

JAMA

150

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ELL PALSY OR IDIOPATHIC FAcial paralysis, an acute weakness or paralysis of the facial nerve, has a lifetime risk of 1 in 60. 1 The annual incidence of Bell palsy is 20 to 30 per 100 000 population. 2 While 71% of untreated patients will completely recover and 84% will have complete or near normal recovery, 3 the remainder will have persistent moderate to severe weakness, facial contracture, or synkinesis. 1 Initial severity is associated with a poor prognosis with as few as 61% of cases of complete pareses and as many as 94% of cases of incomplete pareses having complete recovery, 3 usually within 4 months of presentation. 3,4 A herpes infection likely causes this disorder. [5][6][7][8][9] Swelling of the nerve at the meatal foramen has been observed intraoperatively, 10 and sampling of endoneurial fluid during nerve decompression for Bell palsy has yielded DNA of herpes sim-

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“…Although a systematic review showed a higher recovery rate with corticosteroid and antiviral treatments, these data mostly refer to adults and trials including children are sparse [19]. Unüvar et al described a quicker recovery, but no better outcome of facial palsy in children when treated with corticosteroids [20]. Currently, there is no sufficient evidence showing any clear benefit in the use of steroids or antiviral agents in the treatment of acute peripheral facial palsy in children [6].…”

Section: Discussionmentioning

confidence: 99%

Clinical Features of Bell’s Palsy in Children and Outcomes of Physical Therapy: A Retrospective Study

Çubukçu

Yılmaz

Alkan

et al. 2013

ISRN Rehabilitation

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The aim of this study was to describe clinical features of Bell's palsy (BP) in children and outcomes of physical therapy interventions. Medical records of 186 patients with diagnosis of BP were reviewed. The severity of facial nerve dysfunction was graded according to House Brackmann Facial Nerve Grading Scale (HB FGS). After one month, patients who had HB FGS grade three or more were included in a physical therapy programme consisting of superficial heat, massage, exercises, and electrical stimulation. Among 186 children with BP, 167 children had a severity of HB FGS grade three or more and 19 had the incomplete type at the time of the diagnosis. After one month follow-up, 144 patients fully recovered, 35 patients recovered partially, while 7 patients had no recovery. Patients who had not fully recovered one month after onset of paralysis were included in the physical therapy programme. There was statistically significant difference between pretreatment and posttreatment HB FGS scores in patients who had not fully recovered one month after onset of paralysis. We concluded that the prognosis of BP in children seems to be good with higher recovery rate and physical therapy programme might be an effective method to facilitate recovery in patients with poor prognosis.

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Corticosteroid treatment of childhood Bell’s palsy

Cited by 84 publications

References 13 publications

Epidemiologic and Clinical Features of Bell’s Palsy among Children in Northern California

Epidemiologic and Clinical Features of Bell’s Palsy among Children in Northern California

Combined Corticosteroid and Antiviral Treatment for Bell Palsy

Clinical Features of Bell’s Palsy in Children and Outcomes of Physical Therapy: A Retrospective Study

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